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DI 26525: Scheduled Diaries

Effective Dates: 01/27/2017 - Present

TN 15 (12-04)

A. Introduction

DI 26525.030C. includes examples of impairments and their characteristics, which may warrant a MIE diary when:

one or more of the MIE criteria in DI 26525.025B. is met, and
MIRS criteria will probably be met by the proposed diary date.

B. Procedure

1. Judgment required

Use sound adjudicative judgment in setting the MIE diary.

Do not infer that the conditions in DI 26525.030C. are all inclusive.
Do not set a MIE diary only because an impairment is listed in DI 26525.030C.

2. Case evaluation

Consider all the case facts in determining whether to set a MIE diary (e.g., the presence of other chronic or progressive impairments, adverse vocational factors, and active participation in a therapeutic or treatment regime).

For adults, set the MIE diary only when there is good reason to expect cessation under the MIRS (see DI 28010.000 for MIRS guidelines).
For children, set the MIE diary with greater flexibility, since children may have a greater potential for improvement than do adults.

C. Examples

The following examples describe case facts, which may warrant a MIE diary.

NOTE: Since the appropriate reason code depends on the individual case facts, there are no reason codes provided in the examples.

1. Adults and children

The following examples apply to adults and children.

IMPAIRMENT	LISTING	CONDITION(S)
ACUTE LEUKEMIA OR ACCELERATED OR BLAST PHASE OF CHRONIC MYELOGENOUS LEUKEMIA (CML)	13.06A 13.06B1 113.06A 113.06B1	Meets or equals – diary no earlier than 24 months from the date of diagnosis or relapse, or 12 months from the date of transplantation, whichever is later.
ALLOGENEIC BONE MARROW OR STEM CELL TRANSPLANTATION	13.28A	Meets or equals – diary no earlier than 12 months from the date of transplantation.
HEMATOLOGICAL DISORDER TREATED WITH BONE MARROW OR STEM CELL TRANSPLANTATION	7.17 107.17	Meets or equals - diary no earlier than 12 months from the month of transplantation, unless an earlier onset date is appropriate and supported by the evidence in the case record.
AUTOLOGOUS BONE MARROW OR STEM CELL TRANSPLANTATION	13.28B	Meets or equals – diary no earlier than 12 months from the date of the first treatment under the treatment plan that includes transplantation.
BACK CONDITION		Chronic sprains and strains when: medical onset is within 6 months of the current determination, and severe, irreversible residuals are not confirmed, and the individual is undergoing physical or nonsurgical therapy, or Back conditions of any medical onset: in the post-surgical convalescent period, or for which surgery is scheduled within 3 months.
CENTRAL NERVOUS SYSTEM TRAUMA		When medical onset is within 6 months of the current determination, and the evidence does not permit a reasonable medical judgment regarding an expected permanent level of functioning.
CHRONIC LIVER DISEASE	5.05A, 105.05A	Meets or equals - diary no earlier than 1 year from the date of the last documented transfusion (see DI 26525.015A.. when the initial allowance was before December 18, 2007).
CHRONIC PHASE OF CML WITH BONE MARROW OR STEM CELL TRANSPLANTATION	13.06B2a 113.06B2a	Meets or equals – diary no earlier than 12 months from the date of transplantation.
EPILEPSY	11.02 11.03 111.02 111.03	Meets or equals - a form which is likely to be controlled with a recent change in medication (i.e., a change in medication type or dosage level or a surgical procedure is planned).
FRACTURES		When severe, irreversible, disabling functional limitations are not expected after healing, or In the post-surgical convalescent period, or for which surgery is planned within 3 months of adjudication. NOTE: Unhealed fractures and dislocations will usually receive a MIE diary.
HEARING LOSS TREATED WITH COCHLEAR IMPLANTATION	2.11A	Meets or equals – medical review will be required 1 year following the date of implantation.
IMMUNE DEFICIENCY DISORDERS, EXCLUDING HIV INFECTION, WITH STEM CELL TRANSPLANTATION	14.07B 114.07B	Meets or equals - diary no earlier than 12 months from the date of transplantation.
INFECTIONS		E.G., tuberculosis, mycosis, leprosy, osteomyelitis - without severe, irreversible organ or structural damages and for which the claimant is undergoing a treatment that should resolves or improves the condition. Exclude symptomatic human immunodeficiency virus (HIV) infection and permanent residuals of polio cases.
KIDNEY TRANSPLANTATION	6.04 106.04	Meets - diary for no earlier than 12 months from the month of transplantation surgery.
LIVER TRANSPLANTATION	5.09 105.09	Meets or equals - medical review will be required 12 months following the month of the liver transplantation.
LUNG TRANSPLANTATION	3.11 and 103.11	Meets or equals - medical review will be required 3 years following the month of the lung transplantation.
LYMPHOMA WITH BONE MARROW OR STEM CELL TRANSPLANTATION	13.05C 113.05C	Meets or equals – diary no earlier than 12 months from the date of transplantation.
DEPRESSIVE, BIPOLAR, AND RELATED DISORDERS	12.04 112.04	Meets, equals, medical-vocational allowances when initial medical onset is within 12 months of the determination.
MULTIPLE MYELOMA WITH BONE MARROW OR STEM CELL TRANSPLANTATION	13.07B	Meets or equals – diary no earlier than 12 months from the date of transplantation
NEOPLASMS		When the individual: meets or equals a cancer listing (13.00 or 113.00) other than 13.02E, 13.05C, 13.06A, 13.06B1, 13.06B2, 13.07B, 13.11D, 13.28, 113.03, 113.05C, 113.06A, 113.06B1, 113.06B2a, and has been in a period of remission, which has already lasted 6 months or longer. NOTE: See DI 26525.010 for additional guidance in the diary of cases involving cancer.
NEUROCOGNITIVE DISORDERS	12.02 112.02	Meets, equals, medical-vocational allowances when: due to trauma, toxins, or infections, and the current medical evidence does not permit a reasonable medical judgment regarding the permanent level of functioning.
SKELETAL SYSTEM TUMORS ORIGINATING IN BONE WITH MULTIMODAL ANTINEOPLASTIC THERAPY	13.11D	Meets or equals – diary for 12 months from the date of diagnosis
SOFT TISSUE TUMORS OF THE HEAD AND NECK WITH MULTIMODAL ANTINEOPLASTIC THERAPY	13.02E	Meets or equals – diary no earlier than 18 months from the date of diagnosis

2. Children only

The following examples apply to children only.

IMPAIRMENT	LISTING	CONDITION(S)
ANXIETY AND OBSESSIVE-COMPULSIVE DISORDERS	112.06	Meets or equals.
ATTENTION DEFICIT HYPERACTIVITY DISORDER	112.11	Meets or equals.
ENDOCRINE DISORDERS	109.08	Meets or equals - MIP diary if more than 3 years between adjudication and attainment of age 6 and MIE diary if less than 3 years between adjudication and attainment of age 6.
LOW BIRTH WEIGHT and FAILURE TO THRIVE	100.00	Meets or equals.
HEARING LOSS TREATED WITH COCHLEAR IMPLANTATION	102.11A	Meets or equals – medical review will be required 1 year following the date of implantation or age 5, whichever is later.
MALIGNANT SOLID TUMORS	113.03	Meets or equals - diary no earlier than 2 years from the date of diagnosis or recurrence of active disease, whichever is later.
PERSONALITY DISORDERS	112.08	Meets or equals, especially in very young children.
SOMATIC SYMPTOM AND RELATED DISORDERS	112.07	Meets or equals.
EATING DISORDERS	112.13	Meets or equals.

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